Andirifhkhu appears as a towering, beautiful woman who is covered from head to toe in green scales; furthering this unnatural appearance, her hair is a bright crimson. Her eyes are the eyes of a predatory snake and from her body sprout an extra two pairs of arms. In each of her six hands she wields a different razor-sharp blade, though her worshippers believe that she favours the kukri.

On the Material Plane she is worshipped by a wide variety of sadists,[2] in particular she is the demonic patron of the drow nobles of House Dolour who act as sadistic trackers and bounty hunters.[3] Her worship is also found in some of the sadistic nobles of both Galt and the northern reaches of Taldor. Her worshippers favour an incredibly cruel method of sacrifice: they create trap-laden dungeons filled with deadly knife traps and flensing blades, then release their sacrifices into the dungeon to die on the blades of one of the numerous traps. Those few who make it through the maze are crippled then put back at the start of the maze, the process endlessly repeated until they eventually succumb.[2]